A recent meta-analysis reported that TTh (testosterone therapy) was ineffective for ED (erectile dysfunction.) This new meta-analysis comes to a different conclusion and finds testosterone therapy significantly improves erectile dysfunction and other parameters of sexual function.

Out of 137 retrieved articles, 14 were included in the study enrolling 2298 participants, with a mean follow-up of 40.1 wk and mean age of 60.2 ± 6.5 yr. Using IIEF-erectile function domain (IIEF-EFD) as the outcome, we found that TTh significantly improved erectile function compared with placebo (mean difference = 2.31 [1.41;3.22] IIEF-EFD score, p < 0.0001).

Citrulline was named for citrulline, or watermelon. It is converted by the kidneys to L-arginine and NO, or Nitric Oxide. Nitric Oxide is essential for the health of the artery. It feeds the inner lining of the artery, the intima.
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This study says that calculated free testosterone is associated with the symptoms of sexual dysfunction, while total testosterone was not. The study group was divided into four subgroup. with normal/low total testosterone and calculated free testosterone. They then filled out a questionnaire on sexual symptoms. Only the groups with low calculated free testosterone reported symptoms. The report says:
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Hi everybody, Nelson Vergel here, founder of ExcelMale.com and DiscountedLabs.com. We're very excited today. We're going to be covering a very hot topic, the use of HCG in men. We have a really good expert on the subject, Allison Woodworth. She is the clinical director of PrimeBody.com. It's a national network of clinics around the United States.

Thank you so much, Allison, for joining us today.

Allison:

You're welcome. Thank you for having me Nelson.

Nelson:

We're going to go right into it. Many of the guys here have many questions on HCG, but let's start with the most basic one. What is HCG?

Some men believe that TRT will relieve anxiety, but this study says otherwise. Men were stressed by challenging their status. Those who had applied testosterone gel showed increased cortisol levels. The effect was larger in men who tested higher for dominance. The abstract says:

Highlights
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This study tests the causal effects of testosterone on stress reactivity.

This is an interview with my good friend Lee Myer, founder of PeakTestosterone.com and author of "Natural vs Testosterone Therapy". Lee has been a great role model for me as I admire what he has done to help thousands of men during the past few years.

Why did you start Peak Testosterone?

First of all, Nelson, I want to say thanks for inviting me to share a few thoughts. I might still be on some horrible protocol if it wasn’t for the pioneering work of guys like yourself that forced change for us men in the past. Really, it’s an honor getting to say a few words on here.

After previous denial, in 2015, the American Food and Drug Administration (FDA) approved flibanserin (brand name Addyi) for the treatment of low sexual desire in premenopausal women. Flibanserin has mixed effects on the serotonergic and dopaminergic neurotransmitter systems and was initially developed as an anti-depressant, and later tested for pro-sexual effects. In a number of large trials in women with a diagnosis of hypoactive sexual desire disorder, it was shown that the use of flibanserin (compared to placebo) resulted in a significantly larger increase in the number of monthly so-called “satisfying sexual events” (SSEs) [21, 22, 23]. Although statistically significant, the effects of flibanserin were small; across the phase 3 studies, an increase relative to placebo of 1 to 1.5 SSEs a month was observed [24••]. Also, it is a drug that has to be used daily, with side effects such as dizziness, somnolence, nausea, and fatigue and it should not be used in combination with alcohol.
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Basic Semen Analysis

Basic semen analysis is also known as a sperm count test. A semen analysis measures the viability and health of male sperm. Semen is the bodily fluid that contains sperm (and other sugars and proteins) that is released during ejaculation.

Semen analysis is used to measure three major sperm health factors:

Quantity of sperm

Shape of the sperm cells

Sperm motility (movement of the sperm)

Doctors will often order two or three separate sperm analyses to get an accurate idea of sperm health. Sperm counts may vary on a daily basis, so these tests should be performed at least seven days apart over the course of eight to twelve weeks. Your doctor should use the average of the sperm analysis results to determine your fertility level.
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You have probably reached our site in your search for health and potency. Are you wondering who to trust with men’s health information in an online world full of scammers and deception? Well, you are in the right place!

Welcome to ExcelMale.com, one of the largest and best moderated men’s health forums on the Internet focused on increasing health, potency and productivity in men. With over 13,000 members (as of April 2016) that include educated men, physicians, pharmacists, dietitians, exercise trainers, nutritional supplement experts, and other professionals in the field, ExcelMale is fast becoming a leader in the field. Our forum topics range from testosterone replacement therapy, Trimix injections use for ED, HCG use for better fertility and libido, estradiol management, thyroid function optimization, peptide information, exercise routines, best supplements for men, high protein diets, testosterone side effect management and much more. We also provide men’s health information via Interviews with experts, Videos, and webinars. Last but not least, our members share their reviews of hormone replacement clinics and doctors, compounding pharmacies, pharmaceutical products, supplements, and much more. Our great moderators review every post daily to detect spammers or abuse, so ExcelMale is a safe environment for all men. And since every man wants to help important women in their lives, we do not neglect female health information as we include a folder called “ExcelFemale” to post the latest on HRT in women.